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Steeves-Reece AL, Totten AM, Broadwell KD, Richardson DM, Nicolaidis C, Davis MM. Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation. Am J Prev Med 2022; 62:e303-e315. [PMID: 35078672 PMCID: PMC9850790 DOI: 10.1016/j.amepre.2021.12.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 11/20/2021] [Accepted: 12/01/2021] [Indexed: 01/21/2023]
Abstract
INTRODUCTION Healthcare organizations increasingly are screening patients for social needs (e.g., food, housing) and referring them to community resources. This systematic mixed studies review assesses how studies evaluate social needs resource connections and identifies patient- and caregiver-reported factors that may inhibit or facilitate resource connections. METHODS Investigators searched PubMed and CINAHL for articles published from October 2015 to December 2020 and used dual review to determine inclusion based on a priori selection criteria. Data related to study design, setting, population of interest, intervention, and outcomes were abstracted. Articles' quality was assessed using the Mixed Methods Appraisal Tool. Data analysis was conducted in 2021. RESULTS The search identified 34 articles from 32 studies. The authors created a taxonomy of quantitative resource connection measures with 4 categories: whether participants made contact with resources, received resources, had their social needs addressed, or rated some aspect of their experience with resources. Barriers to resource connections were inadequacy, irrelevancy, or restrictiveness; inaccessibility; fears surrounding stigma or discrimination; and factors related to staff training and resource information sharing. Facilitators were referrals' relevancy, the degree of support and simplicity embedded within the interventions, and interventions being comprehensive and inclusive. DISCUSSION This synthesis of barriers and facilitators indicates areas where healthcare organizations may have agency to improve the efficacy of social needs screening and referral interventions. The authors also recommend that resource connection measures be explicitly defined and focus on whether participants received new resources and whether their social needs were addressed.
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Affiliation(s)
- Anna Louise Steeves-Reece
- Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon; Oregon Rural Practice-based Research Network, School of Medicine, Oregon Health & Science University, Portland, Oregon.
| | - Annette Marie Totten
- Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon; Oregon Rural Practice-based Research Network, School of Medicine, Oregon Health & Science University, Portland, Oregon; Pacific Northwest Evidence-based Practice Center, Oregon Health & Science University, Portland, Oregon; Department of Medical Informatics & Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, Oregon
| | - Katherine DuBose Broadwell
- Oregon Rural Practice-based Research Network, School of Medicine, Oregon Health & Science University, Portland, Oregon
| | - Dawn Michele Richardson
- Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon
| | - Christina Nicolaidis
- School of Social Work, Portland State University, Portland, Oregon; Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, Oregon
| | - Melinda Marie Davis
- Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon; Oregon Rural Practice-based Research Network, School of Medicine, Oregon Health & Science University, Portland, Oregon; Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon
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Merner B, Lowe D, Walsh L, Synnot A, Stratil J, Lewin S, Glenton C, von Philipsborn P, Schonfeld L, Ryan R, O'Connor D, Hoving JL, Hill S. Stakeholder Involvement in Systematic Reviews: Lessons From Cochrane's Public Health and Health Systems Network. Am J Public Health 2021; 111:1210-1215. [PMID: 34370524 DOI: 10.2105/ajph.2021.306252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Bronwen Merner
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Dianne Lowe
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Louisa Walsh
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Anneliese Synnot
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Jan Stratil
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Simon Lewin
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Claire Glenton
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Peter von Philipsborn
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Lina Schonfeld
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Rebecca Ryan
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Denise O'Connor
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Jan L Hoving
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
| | - Sophie Hill
- Bronwen Merner, Dianne Lowe, Louisa Walsh, Anneliese Synnot, Lina Schonfeld, Rebecca Ryan, and Sophie Hill are with Cochrane Consumers and Communication, Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia. Jan Stratil is with the Institute for Medical Informatics, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany. Simon Lewin and Claire Glenton are with the Norwegian Institute of Public Health, Oslo, Norway. Peter von Philipsborn is with the Pettenkofer School of Public Health, Ludwig Maximilian University of Munich, Munich, Germany. Denise O'Connor is with the School of Public Health and Preventive Medicine, Monash University, VIC, Australia. Jan L. Hoving is with the Department of Public and Occupational Health, Amsterdam University Medical Center, Amsterdam, Netherlands
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